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1083108278
CHARLENE DISMAYA
CHESAPEAKE, VA
NPI
1083108278
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: VA 0119005382)
Enumeration Date
2018-06-20
Last Update Date
2018-06-20
Business Address
CHARLENE DISMAYA OTR/L
2448 SHIPYARD RD
CHESAPEAKE, VA 23323-3905
Phone number: 757-558-5356
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Mailing Address
CHARLENE DISMAYA OTR/L
504 MCKINZIE CT
CHESAPEAKE, VA 23320-3280
Phone number: 757-513-8978
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